集束化治疗感染性休克120例临床观察
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【摘 要】目的：集束化治疗感染性休克的临床效果观察。方法：选择120例感染性休克患者随机分为两组，62例患者实施集束化治疗(治疗组)，58例患者实施常规治疗(对照组)，观察两组患者治疗后CVP、MAP、SCVO2变化、血清乳酸含量、MODS发生率、28天病死率。结果;;两组患者入选时的病情无统计学差异(P>0.05)。治疗组治疗后6h及24小时的CVP、MAP、SCVO2、乳酸值变化、MODS发生率、28天住院病死率与对照组比较均有统计学差异(P<0.05)。结论::集束化治疗能较显著的改善感染性休克患者的生存和预后情况
【关键词】休克；感染性；集束化治疗；乳酸；病死率
【中图分类号】R 459.7 【文献标识码】A 【文章编号】1004- 7484(2012)05- 0173- 02
【Abstract】Objective To observe the clinical effect of septic shock treated with cluster therapy.Methods 120 patients with septic shock were randomly divided into two groups,in which 62 patients were treated with cluster therapy(treatment group),and 58 patients with conventional treatment(control group).After treatment,the change of CVP,MAP,SCVO2,serum lactic acid,MODS incidence,28 days case-fatality rate were compared in the two groups of patients.Results In the two groups of patients, the disease before treatment was not statistically different(P>0.05).And there was statistically difference in the change of CVP,MAP,SCVO2,serum lactic acid,MODS incidence,28 days case-fatality rate after 6 and 24 hours treatment with cluster therapy in the treatment group(P<0.05).Conclusion The treatment with cluster therapy can significantly improve the survival and prognosis of patients with septic shock
【key words】shock; infectious;cluster therapy;lactic acid;mortality
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